NICOLE K EVANKO (APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1184210122
Psychiatric/Mental Health Nurse Practitioner
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
4,196 NURSE PRACTITIONER in CT
Provider Addresses for NICOLE K EVANKO (APRN)
883 PADDOCK AVE
MERIDEN, CT 064507044
Phone: (203) 630-5356
Type: Mailing
36 E 6TH ST
FREDERICK, MD 217015216
Phone: (860) 550-4991
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 105 Open Payments records for all available years, with a total value of $2,035.
Total Amount is formed as General ($2,035) + Research ($0) + Ownership ($0) = $2,035.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($463).
Total Amount
$2,035
General + Research + Ownership
Payments
105
Total payment records
General Amount
$2,035
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Teva Pharmaceuticals USA, Inc. | $463 |
| Alkermes, Inc. | $327 |
| Janssen Pharmaceuticals, Inc | $274 |
| ABBVIE INC. | $249 |
| Indivior Inc. | $187 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-03-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20231108003246 | I | Nurse Practitioner | CT | TBD |
| I20240314001091 | I | Nurse Practitioner | DC | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 06450)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | CT | |
| Mental Health Counselor | CT | |
| Nurse Practitioner | CT | |
| Nurse Practitioner | CT | |
| Clinical Social Worker | CT | |
| - | CT | |
| Nurse Practitioner | CT | |
| Mental Health Counselor | CT | |
| - | CT | |
| - | CT |
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